HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    My example all along has been a competent patient who is unable to obtain there own water where other attempts to alleviate their thirst have failed. What I am trying to determine is what variables...

  2. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    So a competent patient will continue to receive a treatment that they do not consent to without the ability to leave? What if the patient says fine, make me comfort care? Do we have the option not...

  3. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    I agree that we can refuse to get the patient a cheeseburger or cigarettes, but there are baseline rights for a dependent adult, at least in my state, that include access to food and

  4. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    This seems to come down to an issue of our action vs inaction. It's easier when a patient refuses a pill because it involves inaction rather than action on our part, which makes us feel less...

  5. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    Not performing interventions that a competent patient refuses is not practicing outside any state's practice

  6. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    What happens while the patient is waiting to be

  7. Telementry on med/surg floor

    HamsterRN replied to regularRN's topic in General Nursing

    Where I work it's called "Med-tele". The floor nurses are not tele trained but some of their patients may be monitored by central tele, who then contacts the charge nurse with any issues. It mainly...

  8. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    I think we can all agree that patients shouldn't be writing their own prescriptions, but they should be able to refuse treatment and decide what prescribed medications they don't want to

  9. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    If the priority is purely what's best for the patient, then wouldn't we want to still maintain portion control and the ability to track accurate I&O's? I think as a general rule, finding your...

  10. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    Who defines what's best for the patient, us or the patient? I agree, it's frustrating when a patient refuses a heart cath for an MI since it is the best treatment, but rather than punishing them for...

  11. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    That's my concern, it doesn't sound like we believe the patient has the choice to comply or not and that we believe A&O patients can be forced into compliance, often without the ability to leave...

  12. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    I deal with the same patients and certainly won't argue that a patient deciding to exceed their fluid limit is not making the smartest decision, but it's their decision to make, not

  13. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    Whose plan of care is it? It should be the Patient's plan of care, not the Physician's or anyone else's and as patient advocate, it's the Nurses job to make sure that is the case. I seem to be in...

  14. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    I'm having a hard time following this logic. To me, the reason why defending giving coumadin to a pt with INR of 6 with the fact that you had an order doesn't hold up to scrutiny is that you can't...

  15. Fluid restrictions vs Patient rights

    HamsterRN replied to HamsterRN's topic in General Nursing

    That's an interesting way to view patient advocacy: simultaneously advocating for and "against"

  16. IV contrast Dye in the Cath Lab

    HamsterRN replied to GoNightingale's topic in Cardiac

    We still give the contrast, but we pre-medicate with solu-medrol and benadryl, some of the docs also add renal protection in the form of muco-mist and bicarb even with a normal

  17. could someone take a look at these ecgs for accuracy?

    HamsterRN replied to Kitty Hawk's topic in General Nursing

    We used the same program when I oriented and the "junctional tachy" example was a bit confusing at first. As a general rule, a junctional rhythm will still have a narrow QRS since the impulses are...

  18. First Nursing job, and I drowned!

    HamsterRN replied to galenanurse's topic in First Year After Licensure

    Sometimes getting fired is not a completely bad thing, make the best of the opportunity to start over some place worth working

  19. why betadine on skin for those with iodine/shellfish allergy?

    HamsterRN replied to carebearsRN's topic in General Nursing

    The iodine/shellfish allergy is a myth that just won't go a way: an allergy to shellfish does not equal an allergy to iodine. Long ago, it was assumed that those with shellfish allergies were...

  20. Positive ppd test

    HamsterRN replied to foster's mom's topic in General Nursing

    A PPD tests for your body's reaction to the toxin that can be due to: Having TB, being exposed to TB, and being sensitized to the toxin as a result of numerous PPD tests. Our hospital no longer...

  21. Who can translate consents?

    HamsterRN replied to Goodyear's topic in General Nursing

    In my state, consents must be obtained by using a "certified medical interpreter", when interpreting for reasons other than obtaining consent, the only requirement is that the person be over 18 years...

  22. What do you think of this Ambien order?

    HamsterRN replied to IowaLPN's topic in General Nursing

    Our practice council recently went over this topic and couldn't find any new laws or regulations that says nurses can no longer titrate based on range orders, so I'm curious to hear what the new laws...

  23. Leading (or best) practice

    HamsterRN replied to JulieBoolie's topic in General Nursing

    One of the best overall sources of Evidence based practice is the Cochrane Collaboration which uses meta-analyses to make recommentaions, although most are focused on general medicine, some do address...

  24. Potassium IV solutions

    HamsterRN replied to Sarah010101's topic in General Nursing

    It's not unusual for alcoholics to have chronically low electrolytes, and at 2.6 you would have a hard time overloading him with potassium, particularly since the patient was only receiving part of...

  25. Should I try to work as CNA before I get my RN?

    HamsterRN replied to nolamor's topic in Medical Assistant, CNA/MA

    There are 3 nursing programs in my area and they all require experience as a CNA (3-6 months) to apply to their RN